NEW BALANCE NP IN PSYCHIATRY PLLC
NPI 1306712567
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY

Active since October 15, 2025
937 E 96TH ST, BROOKLYN, NY 11236(315) 547-0502 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About New Balance Np In Psychiatry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW BALANCE NP IN PSYCHIATRY PLLC (NPI 1306712567) is a healthcare organization registered as a psychiatric/mental health in Brooklyn, New York and active in the NPI registry since October 2025. The organization lists Marie Duclair, Owner, as its authorized official.

NPPES Registry Identity

NPI1306712567
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameNEW BALANCE NP IN PSYCHIATRY PLLC
Location Address937 E 96TH STBrooklyn, NY 11236-2303
Mailing Address937 E 96th StBrooklyn, NY 11236-2303 · (315) 547-0502
Organization SubpartNo
Authorized OfficialMarie DuclairOwner · (315) 547-0502
Enumeration DateOctober 15, 2025
Last NPPES UpdateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1306712567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
937 E 96TH ST, Brooklyn, NY 11236

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New Balance Np In Psychiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to New Balance Np In Psychiatry PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1649051921
937 E 96TH ST
Brooklyn, NY 11236
(917) 345-9489
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is New Balance Np In Psychiatry PLLC's NPI number?

The NPI number for New Balance Np In Psychiatry PLLC is 1306712567. It was assigned to this organization in the NPPES registry on October 15, 2025.

Where is New Balance Np In Psychiatry PLLC located?

New Balance Np In Psychiatry PLLC is located at 937 E 96th St, Brooklyn, NY 11236. The listed phone number is (315) 547-0502.

What is New Balance Np In Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is New Balance Np In Psychiatry PLLC enrolled in Medicare?

Yes. New Balance Np In Psychiatry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New Balance Np In Psychiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to New Balance Np In Psychiatry PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for New Balance Np In Psychiatry PLLC was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.